The
main reason for the surgery here is to relieve leg pain stemmed from
neural compression. Thus, the principal objective of degenerative
scoliosis surgery is decompression. Also, the main
reason for performing fusion is the increased risk of deformity
progression after the decompression. Fusion is performed from the
lower thoracic spine or upper
lumbar spine to L5 and not to the sacrum. The patient otherwise has
satisfactory coronal and sagittal alignment without any thoracolumbar
kyphosis or thoracic kyphosis. The principal goal is to prevent
further progression of the deformity and achieving balance rather than
to correct the deformity.
